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Bright Horizons at Rosslyn
1300 Wilson Blvd
Arlington, VA 22209
(703) 524-4688

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: April 26, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
63.2 General Provisions.
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Discussed the importance of maintaining background checks for all staff, medications, children's records, maintenance. Consultation was given on the new background requirements for finger printing, a revised Sworn Statement (SDS) for new staff hired after 7/1/2017 and requesting out-of-state Central Registry checks for staff who have lived outside of Virginia within the last five years. The model SDS form is online at VA DSS as well as a link to the Adam Walsh site to assist with out-of-state central registry forms. VA DSS will be paying for initial child care finger print checks until 9/30/2018. Each facility must establish a point of contact with VA DSS. All questions regarding facility codes should be directed to OBI at 804-726-7884. Eligibility letters will be sent out by e-mail and staff may not be hired until the completed letter is received. Please read, review, and respond to all correspondences regarding the fingerprint roll out.

Comments:
An unannounced renewal inspection was conducted from 10:30 am-4:45pm. 125 children were in care with 31staff members present. Children were observed engaged in a variety of group activities including art, sensory, home living and learning activities. Children were observed going outside and eating lunch. Lunch: Chicken leg with buttermilk gravy, zucchini, strawberries and milk. Medications were reviewed alongside with emergency drill records. 7 staff/children records were reviewed. The staff was observed engaging the children in various themed activities. Infants were observed being bottle fed, napping and getting diapers changed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at mahrukh.aziz@dss.virginia.gov or 571-835-4718.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, center did not obtain immunization records for children before the child entered the program. Evidence: Child # 4 's enrollment was 2/7/18. There were no immunization records in the child's file.

Plan of Correction: The records have been requested and we will follow up to get the records.

Standard #: 22VAC40-185-140-A
Description: Base on record review, center did not obtain a physical exam record for children. Evidence: Child # 1's record did not have a copy of her physical exam.

Plan of Correction: We will remind the parents to provide us with the physical record.

Standard #: 22VAC40-185-160-A
Description: Based on record review, a current negative Tuberculosis (TB) screening as not obtained by the center for staff within 21 days of employment. Evidence: Staff # 8 was hired on 2/1/18. There was no record of a negative TB screening in his file.

Plan of Correction: We will get the TB screening done.

Standard #: 22VAC40-185-240-D-3
Description: Based on record review and observation, staff did not have the required training to administer medication. Evidence: 1. There are three children on site that require rectal medication. 2. There is currently no staff trained in the administration of medication that also has the rectal medication administration training which would authorize them to administer the rectal medication.

Plan of Correction: We are getting rectal medication training tonight.

Standard #: 22VAC40-185-270-A
Description: Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: 1. Area rugs in the Toddler 1, Toddler 3, 2's-1, 2's-3 and Preschool 2 classroom are fraying, posing a trip hazard. 2. An electrical outlet plate in the 2's-2 classroom is coming off the wall. 3. Two chairs in the 2's-3 classroom have covers that need cleaning. 4. Peeling paint was found by the entrance door in the 2's -3 classroom. 5. In the Preschool 1 classroom there is a hole in the wall under the clock, next to the teacher's closet. 6. The trash can in the bathroom shared by the Preschool 2 and Pre-K classroom is broken.

Plan of Correction: We will temporarily fix the rugs until they are replaced, work orders will be submitted and we are taking measures to make sure that immediate safety issues are addressed.

Standard #: 22VAC40-185-500-A
Description: Based on observation, hand washing was not being done by staff and children after diaper changing and using the bathroom. Evidence: 1. In the Toddler 3 classroom, Staff # 10 was observed changing diapers. 2. Staff # 10 did not wash hands in between diaper changes. Staff # 10 did not ensure that children's hands were washed after diaper changing. 3. In the 2's -3 classroom, a child was observed using the bathroom, but the staff did not ensure that the child washed her hands after using the bathroom.

Plan of Correction: We will re-train staff about handwashing today.

Standard #: 22VAC40-185-510-F
Description: Based on observation, medication was not maintained in it's original container with the prescription label. Evidence: Child # 2's emergency medication was not maintained in the original packaging with the prescription label.

Plan of Correction: WE will ask the parents to bring in the original packaging.

Standard #: 22VAC40-191-60-C-1
Description: Based on record reviews, center did not obtain criminal record checks (CRC) for staff within 30 days of employment. Evidence: 1. Staff # 5 was hired on 12/14/17. Staff # 5's CRC was mailed on 3/7/18. It was not submitted within 30 days of hire date. 2. Staff # 6 was hired on 6/9/16. There was no record of a previous CRC in Staff # 6's record. Staff # 6's CRC was mailed on 3/7/18. 3. Staff # 7 was hired on 1/2/18. Staff # 7's CRC was mailed on 3/7/18. It was not submitted within 30 days of hire date. 4. Staff # 2 was hired on 4/24/17. Staff # 2's CRC was mailed on 3/7/18. It was not submitted within 30 days of hire date.

Plan of Correction: We will no longer use the CRC forms for new staff and make sure that fingerprinting is done before any new staff is hired.

Standard #: 63.2-1720.1-B-2
Description: Based on record review, center did not obtain fingerprinting results for new staff. Evidence: 1. Staff # 8 was hired on 2/1/18. 2. The center did not obtain fingerprinting completed for Staff # 8 prior to employment .

Plan of Correction: We will get the fingerprinting done.

Standard #: 63.2-1720.1-B-3
Description: Based on records review and staff interview, center did not obtain out of state central registry findings for staff. Evidence: 1. Center had not obtained out of state central registries for Staff # 1, #2, # 3, and # 4 during the previous monitoring inspection. Center had still not obtained the central registry findings and the results were not available for review during this inspection. 2. Staff # 1, 2, 3 and 4 have lived outside of Virginia (VA) in the last five years. 3. Staff # 5 was hired on 12/14/17. Staff # 5 has lived outside of VA in the last five years. Center did not obtain an out of state central registry for Staff # 5. 4. Staff # 6 was hired on 6/9/16. Staff # 6 has lived outside of VA in the last five years. Center did not obtain an out of state central registry for Staff # 6. 5. Staff #7 was hired on 1/2/18 and has lived outside of VA in the last 5 years. Center did not obtain an out of state central registry for Staff # 7. 6. Staff # 8 was hired on 2/1/18 and has lived outside if VA in the last 5 years. Center did not obtain an out of state central registry for Staff # 8. 7. Staff # 9 has lived outside of VA in the last 5 years. Center did not obtain an out of state central registry for Staff # 9.

Plan of Correction: The out of state registries will be mailed out tomorrow.

Disclaimer:
A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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